Retrospective case series analysis of vestibuloplasty with free gingival graft and titanium mesh around dental implant
구정귀, 임대호,
소속 상세정보
구정귀 ( Ku Jeong-Kui ) - Jeonbuk National University School of Dentistry Department of Oral and Maxillofacial Surgery
임대호 ( Leem Dae-Ho ) - Jeonbuk National University School of Dentistry Department of Oral and Maxillofacial Surgery
Abstract
Objectives: The purpose of this paper is to introduce an effective technique to easily obtain adequate amounts of keratinized gingiva and vestibular depth.
Materials and Methods: Free gingiva (vertical height 10 mm) was harvested on the palatal mucosa and a partial thickness flap was elevated on the recipient site with same width as the free gingiva graft. After a conventional suture, a titanium mesh covered the graft and was fixed with miniscrews.
Titanium mesh was removed 4.1±2.5 weeks after surgery. The amount of keratinized gingiva and vestibular depth was measured at the final follow-up.
Results: Nine patients (males 4, females 5; 53.9±14.1 years) who underwent bone graft surgery before vestibuloplasty were included. No free gingival graft failure or complications were encountered in any of the patients. The relapse rate for vestibular depth (23.3%) was lower than that for keratinized gingiva (48.3%) after 34.4±14.4 months (P=0.010).
Conclusion: Vestibuloplasty with a free gingival graft using titanium mesh could be achieved with an acceptable amount of keratinized gingiva and an appropriate vestibular depth around dental implant.
키워드
Dental implant; Tissue graft; Titanium; Vestibuloplasty
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